Totally laparoscopic cholecystolithotomy as a treatment for chronic calcular cholecystitis: a case-control study
10.3760/cma.j.issn.1673-4203.2016.07.006
- VernacularTitle:完全腹腔镜保胆取石术治疗慢性结石性胆囊炎效果评价
- Author:
Renfei ZHU
;
Chaode LU
;
Jianjun WU
;
Xu XIAO
;
Jinzhu WU
;
Liuhua WANG
- Publication Type:Journal Article
- Keywords:
Chronic calcular cholecystitis;
Cholecystolithiasis;
Cholecystectomy,laparoscopic
- From:
International Journal of Surgery
2016;43(7):454-457
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and feasibility of totally laparoscopic cholecystolithotomy.Methods Patient baseline characteristics of all 34 totally laparoscopic cholecystolithotomy (TLC) were collected in a database.This group was compared with 34 matched patients who underwent the laparoscopic cholecystectomy (LC) in the same period.Retrospectively,intraoperative and postoperative data were added.Results Operatingtime was significantly longer in the TLC group(124.56 min vs 78.50 min,P ＜0.01).The mean hospitalization expenses of operation was significantly higher in the TLC group(10 970.85 yuan vs 8 666.72 yuan,P ＜0.01).Although not significant less patients have the symptoms of postoperative dyspepsia or diarrhea were seen in the TLC group compared with the LC group (2 vs 6,P =0.26).Intraoperative details and postoperative results such as,blood loss,hospital stay,exhaust time,abdominal bleeding,bile leakage,incision infection have no significant difference.One case of gallstone recurrence was detected in TLC group.No stone recurrence was reported in common bile duct in LC group.Conclusions TLC is effective and feasible for chronic calcular cholecystitis and is particularly favorable for thepatients with medical insurance.However,this approach is technically demanding and should be performed by experienced surgon.
